(a) Notwithstanding any provision of the general statutes, on and after July 1, 2011, the Department of Social Services may, within available appropriations, make interim quarterly medical assistance disproportionate share payments to short-term general hospitals. The total amount of interim payments made to such hospitals individually and in the aggregate shall maximize federal matching payments under the medical assistance program as determined by the Department of Social Services, in consultation with the Office of Policy and Management. No payments shall be made under this section to (1) any hospital which, on July 1, 2011, is within the class of hospitals licensed by the Department of Public Health as a children's general hospital, or (2) a short-term acute hospital operated exclusively by the state other than a short-term acute hospital operated by the state as a receiver pursuant to chapter 920. The quarterly interim payment amount for each hospital shall be determined by the Commissioner of Social Services based upon the information submitted by the hospital pursuant to Section 1001(d) of Public Law 108-173, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.
(b) Effective July 1, 2011, interim payments made to hospitals pursuant to this section for the succeeding twenty-seven months shall be based on 2009 federal fiscal year data and may be adjusted at the commissioner's discretion for accuracy. Effective October 1, 2013, interim payments shall be based on the most recent independent, certified disproportionate share hospital audit of federal fiscal year data. For federal fiscal year 2011 and succeeding federal fiscal years, final disproportionate share payment amounts shall be recalculated and reallocated in accordance with Section 1001(d) of Public Law 108-173, the Medicare Prescription Drug, Improvement, and Modernization Act of 2003. The commissioner shall prescribe uniform annual hospital data reporting forms. Payments made pursuant to this section shall be in addition to inpatient hospital rates determined pursuant to section 17b-239. The commissioner may withhold payment to a hospital to offset money owed by the hospital to the state.
(P.A. 11-44, S. 111; June 12 Sp. Sess. P.A. 12-1, S. 3; P.A. 13-234, S. 116.)
History: P.A. 11-44 effective July 1, 2011; June 12 Sp. Sess. P.A. 12-1 amended Subsec. (b) by substituting 27 months for 15 months, by substituting October 1, 2013, for October 1, 2012, and by adding provision re interim payments based on the most recent independent, certified disproportionate share hospital audit of federal fiscal year data, effective June 15, 2012; P.A. 13-234 amended Subsec. (a) to replace “monthly” with “quarterly” re interim disproportionate share payments, effective July 1, 2013.
Structure Connecticut General Statutes
Chapter 319v - Medical Assistance
Section 17b-220. (Formerly Sec. 17-292g). - Reimbursement of medical providers.
Section 17b-221. (Formerly Sec. 17-292h). - Regulations. Reimbursement of hospitals.
Section 17b-221a. - Revenue from Riverview Hospital to be used to pay Medicaid claims.
Section 17b-222. (Formerly Sec. 17-294). - “Humane institution” defined. Daily report.
Section 17b-223. (Formerly Sec. 17-295). - Support in humane institutions.
Section 17b-224. (Formerly Sec. 17-295b). - Liability of patient for per capita cost of care.
Section 17b-225. (Formerly Sec. 17-295c). - Availability of patient information to certain agencies.
Section 17b-226a. - Provider billing rates for goods and services.
Section 17b-227. (Formerly Sec. 17-297). - Payment for services in state humane institutions.
Section 17b-229. (Formerly Sec. 17-299). - Liability for prior charges.
Section 17b-230. (Formerly Sec. 17-300). - Claim of state on death of institution patient.
Section 17b-231. (Formerly Sec. 17-301). - Refund for support of persons in state institutions.
Section 17b-237. (Formerly Sec. 17-310). - State aid toward support of children at center.
Section 17b-238. (Formerly Sec. 17-311). - State payments to hospitals.
Section 17b-239b. - Chronic disease hospitals. Prior authorization procedures. Regulations.
Section 17b-239c. - Interim disproportionate share payments to short-term general hospitals.
Section 17b-239d. - Payments for outpatient hospital services.
Section 17b-239e. - Hospital rate plan. Supplemental pools and payments. Quality measures.
Section 17b-241b. - Rate for private psychiatric residential treatment facilities.
Section 17b-243. (Formerly Sec. 17-313a). - Payments to rehabilitation centers.
Section 17b-245a. - Payments to federally qualified health centers.
Section 17b-245e. - Telehealth services provided under the Medicaid program. Report.
Section 17b-249. (Formerly Sec. 17-317). - Support of mentally ill persons accused of crime.
Section 17b-252. (Formerly Sec. 17-12q). - Connecticut Partnership for Long-Term Care.
Section 17b-256e. - Reports re potential participants in affordable pharmaceutical drug program.
Section 17b-256f. - Eligibility for Medicare savings programs. Regulations.
Section 17b-257b. - Alien eligibility for state medical assistance. Regulations.
Section 17b-257d. - Notice of terminating alien's state medical assistance.
Section 17b-257e. - Postpartum care for women without legal immigration status. Income eligibility.
Section 17b-258. (Formerly Sec. 17-12jj). - Health insurance assistance for unemployed persons.
Section 17b-259. (Formerly Sec. 17-274). - Medically necessary services.
Section 17b-260. (Formerly Sec. 17-134a). - Acceptance of federal grants for medical assistance.
Section 17b-260c. - Medicaid waiver to provide coverage for family planning services.
Section 17b-261. (Formerly Sec. 17-134b). - Medicaid. Eligibility. Assets. Waiver from federal law.
Section 17b-261b. - Program eligibility determined by department. Spousal support.
Section 17b-261c. - Medical assistance. Changes in circumstances.
Section 17b-261d. - Disease management initiative. Implementation. Annual report.
Section 17b-261e. - Mobile field hospital: HUSKY Health program coverage.
Section 17b-261f. - Mobile field hospital account.
Section 17b-261i. - Administrative services for Medicaid recipients. Regulations.
Section 17b-261j. - Easy Breathing model in HUSKY Health program.
Section 17b-261l. - Treatment of reverse annuity mortgage loan proceeds under Medicaid. Regulations.
Section 17b-261o. - Imposition of penalty period when undue hardship exists. Exception.
Section 17b-261t. - Contents of Medicaid benefits cards.
Section 17b-261v. - Parent or needy caretaker relative. Review of Medicaid coverage options.
Section 17b-262. (Formerly Sec. 17-134d). - Regulations. Admissions to nursing home facilities.
Section 17b-263c. - Medical homes. Regulations.
Section 17b-264. (Formerly Sec. 17-134e). - Extension of other public assistance provisions.
Section 17b-265b. - Reimbursement rates for pathologists.
Section 17b-265c. - Medicaid and Medicare dually eligible pilot program.
Section 17b-265g. - Health insurer. Duties owed to the state and Commissioner of Social Services.
Section 17b-266a. - Contract with pharmacy benefits management organization.
Section 17b-268. (Formerly Sec. 17-134i). - Withdrawal of member of group providing services.
Section 17b-269. (Formerly Sec. 17-134j). - Bonding of officers and employees.
Section 17b-270. (Formerly Sec. 17-134k). - Liability of agency and its officers.
Section 17b-271. (Formerly Sec. 17-134l). - Termination of agreement.
Section 17b-272. (Formerly Sec. 17-134m). - Personal fund allowance.
Section 17b-274b. - Pharmaceutical purchasing initiative. Annual report.
Section 17b-274e. - Prescription drugs. Utilization of cost-efficient dosages.
Section 17b-274f. - Step therapy program for Medicaid prescription drugs.
Section 17b-275. (Formerly Sec. 17-134r). - Physician and pharmacy lock-in procedure.
Section 17b-276b. - Nonemergency medical transportation services. Prior authorization.
Section 17b-276c. - Payment for medically necessary mode of transportation service.
Section 17b-277b. - Healthy Start program. Plan. Review.
Section 17b-277c. - Medicaid coverage for donor breast milk. Requirements. Regulations.
Section 17b-278a. - Coverage for treatment for smoking cessation.
Section 17b-278b. - Medical assistance for breast and cervical cancer.
Section 17b-278f. - Amendment to state Medicaid plan to provide treatment for tuberculosis.
Section 17b-278g. - Medical assistance for eyeglasses and contact lenses. Regulations.
Section 17b-278h. - Medical assistance for chiropractic services. Regulations.
Section 17b-278j. - Complex rehabilitation technology. Definitions. Report.
Section 17b-278k. - Electronic transmission of prescriptions for durable medical equipment.
Section 17b-280c. - Methadone maintenance. Minimum rates.
Section 17b-281b. - Used durable medical equipment. Payments to vendors or suppliers.
Section 17b-281c. - Authority of commissioner to modify medical equipment fee schedules.
Section 17b-282b. - Implementation of state-wide dental plan. Waiver.
Section 17b-282c. - Nonemergency dental services. Regulations.
Section 17b-282d. - Commissioner to modify nonemergency dental services. Regulations.
Section 17b-282e. - Orthodontic services for Medicaid recipients under twenty-one years of age.
Section 17b-282f. - Mobile dental clinics. Medicaid coverage areas. Regulations.
Section 17b-284. (Formerly Sec. 17-134ff). - Medical assistance for certain employed persons.
Section 17b-286. - Medicaid management information system. Reports.
Section 17b-288. - Organ transplant account. Regulations.
Section 17b-290. - Definitions.
Section 17b-291. - Children's health insurance plan.
Section 17b-292a. - Information for redetermination of eligibility under HUSKY Plan.
Section 17b-292b. - Prenatal care under HUSKY B. Unborn child option. Income eligibility.
Section 17b-293. - Minimum benefit coverage under HUSKY Plan, Part B.
Section 17b-294. - HUSKY Plus programs.
Section 17b-294a. - HUSKY Plus program. Administration. Eligibility. Regulations.
Section 17b-295. - Cost-sharing requirements under HUSKY B.
Section 17b-297. - Outreach programs for HUSKY Plan, Part A and Part B.
Section 17b-299. - Applications. Approval.
Section 17b-300. - Notification of member's change of circumstance.
Section 17b-301. - Recovery of payment for false statement, misrepresentation or concealment.
Section 17b-303. - Income disregard. Application for federal waiver.
Section 17b-304. - Regulations.
Section 17b-306a. - Child health quality improvement program. Purpose and scope. Annual reports.
Section 17b-307. - Primary care case management pilot program.
Section 17b-311. - Charter Oak Health Plan.
Section 17b-312. - Medicaid waiver to seek federal funds to support the Covered Connecticut program.
Section 17b-313. - Innovation waiver for health care expansion.